Motivation, Supervision, and Adherence to Medical Waste Policy in South Labuhanbatu, North Sumatera
Abstract
Background: Medical waste is unwanted biological products that are highly infectious in nature. It is broadly classified as infectious waste and biohazardous waste, and can easily spread any disease virally and can even pose a danger to life. Medical waste is found in hospitals, laboratories, research centres, tattoo parlours, and others. It has to be disposed properly otherwise it poses a health and environmental danger. This study aimed to examine the effects of motivation and supervision on adherence to medical waste policy in South Labuhanbatu, North Sumatera.
Subjects and Method: This was a cross-sectional study carried out in South Labuhanbatu, North Sumatera. A sample of 34 health care workers were selected for this study, consisting of health center doctors, private doctors, and health clinic owner. The dependent variable was adherence to medical waste policy. The independent variables were motivation and supervision. The data were collected by questionnaire and analyzed by multiple logistic regression.
Results: Adherence to medical waste policy was affected by strong motivation (OR= 6.31; 95%CI= 2.74 to 9.33; p= 0.048) and regular supervision (OR= 5.56; 95%CI= 3.42 to 8.09; p= 0.039).
Conclusion: Adherence to medical waste policy is affected by motivation and supervision.
Keywords: waste policy, adherence, motivation, supervision.
Correspondence: Syahrul An. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: 44nregar@gmail.com. Mobile: 082366502449.
Journal of Health Policy and Management (2020), 05(02): 146-151
ttps://doi.org/10.26911/thejhpm.2020.05.02.07
References
Al Momani H, Obaidat M, Khazaleh A, Muneizel O, Afyouni NM, Fayyad SM (2019). Review of medical waste management in Jordanian health care organisations. British Journal of Health Care Management, 25(8). https://doi.org/10.12968/bjhc.2019.0041
Awodele O, Adewoye AA, Oparah AC (2016). Assessment of medical waste management in seven hospitals in Lagos, Nigeria. BMC Public Health, 16(1), 1–11. https://doi.org/10.1186/s12889-016-2916-1
Baaki TK, Baharum MR, Akashah FW (2017). Critical success factors of medical waste management implementation in health care facilities in Nigeria: A case study. Journal of Design and Built Environment, 17(1), 18–35. https://doi.org/10.22452/jdbe.vol17no1.2
Basuki C (2006). Pengantar kesehatan lingkungan (Introduction to environmental health). Rosda Karya
Caniato M, Tudor TL, Vaccari M (2016). Assessment of health care waste management in a humanitarian crisis: A case study of the Gaza Strip. Waste Management. https://doi.org/10.1016/j.wasman.2016.09.017
Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A (2011). Factors influencing nurses’ compliance with Standard Precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nursing, 10(1), 1–12. https://doi.org/10.1186/1472-6955-10-1
Gibson RL (2011). Bimbingan dan konseling (ketujuh) Guidance counseling (seventh). Pustaka Pelajar
Hasan MM, Rahman MH (2018). Assessment of Healthcare Waste Management Paradigms and Its Suitable Treatment Alternative: A Case Study. Journal of Environmental and Public Health, 2018. https://doi.org/10.1155/2018/6879751
Kartono K (2011). Pemimpin dan kepemimpinan (Leader and leadership). Rajawaligrafindo Persada
Ministry of Environment and Forestry of the Republic of Indonesia (2015). Peraturan Menteri Lingkungan Hidup dan Kehutanan Republik Indonesia Nomor P.56/MENLHKSETJEN/2015 tentang Tata Cara dan Persyaratan Teknis Pengelolaan Limbah Bahan Berbahaya dan Beracun dari Fasilitas Pelayanan Kesehatan (Regulation of the Minister of Environment and Forestry of the Republic of Indonesia Number P.56/MENLHK-SETJEN/2015 concerning Procedures and Technical Requirements for Management of Hazardous and Toxic Waste Material from Health Service Facilities). In Biro Hukum KLHK RI
Pasaribu DA (2019). Hubungan Pengawasan Perawat IPCN (Infection Prevention Control Nurse) Dengan Kepatuhan Perawat Membuang Sampah Medis Dan Non Medis di RSUD Padang Lawas (The Relationship between Nurse Oversight and the Compliance of Nurses to Dispose Medical and NonMedical Waste in Padang Lawas Hospital). 1(2), 15–19
Pratiwi D (2013). Pengelolaan Limbah Medis Padat Pada Puskesmas Kabupaten Pati (Solid Medical Waste Management in Pati Health Center). KESMAS Jurnal Kesehatan Masyarakat, 9(1), 74–84. https://doi.org/10.15294/kemas.v9i1.2833
Reda AA, Fisseha S, Mengistie B, Vandeweerd JM (2010). Standard precautions: Occupational exposure and behavior of health care workers in Ethiopia. PLoS ONE, 5(12), 1–6. https://doi.org/10.1371/journal.pone.0014420
Siagian SP (2008). Manajemen sumber daya manusia (Edisi Pertama)/Human resource management (First ed.). Binapura Aksara.